For many girls and women mild to moderate premenstrual symptoms, known as PMS, may be uncomfortable but manageable with lifestyle changes/dietary intervention/exercise. Hormonal or herbal treatments may also be helpful.
For others symptoms can be extremely distressing, having such a debilitating impact on quality of life that 15% of those with Premenstrual Dysphoric Disorder (PMDD) (a severe form of premenstrual disorder) attempt to take their own life.
Premenstrual Exacerbation (PME) can be difficult to differentiate from PMS/PMDD. PME occurs when symptoms of an underlying physical or mental health condition worsen in the luteal phase of the menstrual cycle (the time between ovulation and menstruation).
The only way to formally diagnose PMS, PMDD or PME is by tracking symptoms for at least two menstrual cycles. Correct diagnosis is needed in order to receive the most effective treatment.
Hannah offers advice and treatment for all types of premenstrual disorder. If surgery is required for women with treatment-resistant PMDD then an onward referral can be made.